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Bipolar 1

Bipolar I disorder is a mental health condition that causes alternating episodes of mania and depression. These significant shifts in mood and energy can disrupt everyday life and affect your job, relationships, hobbies, and goals.

The Dangers of Not Treating Bipolar Disorder

Learn why treating bipolar disorder is so important and how it can help prevent serious and life-threatening consequences.

Mera Goodman, MD, FAAP profile image

Reviewed by Mera Goodman, MD, FAAP

Updated on April 6, 2025

Living with any mental illness can really take a toll on your quality of life. Without treatment, people may suffer from crippling symptoms that affect their families, relationships, and careers. Luckily, treatment can usually help people get control of their lives and prevent serious problems. This is especially true when it comes to treating bipolar disorder.

Bipolar disorder causes symptoms that can threaten people’s health, safety, and quality of life. In some cases, it can even threaten their lives. In the long term, untreated bipolar disorder can also have lasting effects on overall brain function and coping.

The importance of treating bipolar disorder

Manic episodes can cause reckless behavior, including:

  • Binge-drinking

  • Dangerous driving, such as speeding and drunk-driving

  • Impulsive and excessive spending

  • Risky sex

  • Overeating

These can lead to legal battles, financial trouble, injuries, broken relationships, lost jobs, and even death — to the individual or to others. These consequences could increase stress and worsen mental health. The risks are so high that doctors generally recommend quick hospitalization for people having a manic episode.

To prevent manic episodes, people with bipolar disorder often get different treatment than people with depression. That is because standard antidepressants can sometimes increase the risk of manic episodes. Instead, treating bipolar disorder often includes mood-stabilizing medicines.

Preventing self-harm

Even if someone rarely has manic episodes, untreated bipolar disorder can still be devastating. Depression increases the risk of:

Suicide rates are higher among people with bipolar disorder compared to the general population. It is important to know that suicide is generally preventable. Prevention can include having a good support system, but also treating underlying conditions.

Treating bipolar disorder can help prevent self-harm and suicidal ideation by providing:

  • “Antimanic” medications that treat manic episodes. This helps prevent the dangerous behavior that can have serious consequences and increase stress

  • Mood-stabilizing medicines that reduce the severity of depressive symptoms and prevent manic episodes

  • Psychotherapy that helps teach healthy ways to cope with challenging and negative thoughts and behaviors

  • A professional care team and support system

If you or a loved one are having thoughts of suicide, go to the nearest emergency room or call the Suicide and Crisis Lifeline 24 hours a day at 988.

References

Dome, P., et al. (2019). Suicide risk in bipolar disorder: A brief review. Medicina.

Gergel, T., et al. (2024). Suicide and bipolar disorder: Opportunities to change the agenda. The Lancet Psychiatry.

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